Bonham, Julie
Bonham, Julie is an individual health care provider with primary practice located at 803 3Rd St. Se Suite 330, Little Falls MN 56345. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Bonham, Julie can be contacted via phone (206) 315-6536.Contact Information
Primary practice address
803 3Rd St. Se Suite 330
Little Falls MN 56345
Phone: (206) 315-6536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Therapist | 125J00000X | DT95 | Minnesota |
Profile Details
| NPI number | 1326548454 |
|---|---|
| LBN Legal business name | Bonham, Julie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2018 |
| Last updated | Dec 5th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326548454 | NPPES |
| Minnesota | MEDICAID | 467477400 |
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